HomeMy WebLinkAboutCemyBook1-name+YOD0183' a.
p
c lat Not
Hlork No.
N»mr
raid. !'
(irti6tste No. pr..1 R-;ard:d Hack
Dau cold
Date
t Tranrfetled to
rage
Lot No. 9
Block NO- /
Name
Residence
Certificate No. Amt. Paid, $
Date Sold Deed Recorded Book
Transferred to Date .
I�a7Se
C�
N°
Lot No. G
Dl°CR
Name
Block No.
Name
Lot No. /
1 Residence
Cectificate NO
Amt. Paid, $
Residence
Sold
'Deed Recorded Book Page
Certificate No.
Amt.
Date
'
Date Sold
Paid, $
� Transferredto ,
Date
Trnnsfencd to
Dee.l P.ecorded Book
Pa5'e
Date
(GR `j "/r t K" f bATB of MATH —.
—-,� -- ,his
'r"�t or tsPuo; or D&+nt Se: Color
Nurs or Draocs'r ra )
� Win Momta Wn � �N7 Mouth Day CAUSE of DEATH
t;o- .�: {,_t •-.).0 �i 1 1:Ly✓,� iC rl —7)/-
a-7�92 0
77�' 27 w
o .27 hi w (P6Z �f
— — �zcl / ,t /2-
�5 op 44 13
7 3 yyj 1 J / Ff7 /2
r'143
7 l �t5� ( 27
z
G9zo �a, Ito. �F'' - - 7►q (� !%�� e3 -Zo
rit430 hi��;� _ 7y �l /� �. 19s� 7 / 7 6 .mi.�c��' .
6G
.3� _ ,
ALA.
-W I 2J
?03� � R . oLQl2l 77 - - zv
7z3s +�Q 6 I r 9 w l9`l /Z d
JJ
?3 o r 2J
y9
any wya�` %
i 3
tj
i 6y 9 2 Y
0
tic
_ _ /' • Op It77RRMF3iT PLACE OF INTERMENT
f No.° Permit No.
/ 9X ,�—
O
-5
/3
6
2—
It z
26
l ��7 4(
19ts7 7
/16-9 7
20
/ o
7
.2,y
Cf
J o
5
Os Y 9
//
Cd
/ o
7
/o
l9sq If
27
aY
27
,22
6
�9Fz
2
-a
.-/ 41fr
7
.Z/
Cv
/ Z
L
/%/z
7
/v
Cd
lz
,6
Grave Fee Name of Undertaker, Coroner
r Physic, �°i Nearest Relative ors], ]me REMARKS
p� � ✓ �(�//���j/CEvli �—fGQi'7� ��vLv7.ai �Gl��t1'r.G!/Y�'i"L
/ s+ wd ! i
/
—0 °0
Of
l �5 02 J
/ c
a d If a . ��•LUY ,+�I1 �T�
� 6-
/S o v
Od
ou
ry
. ��- -
�i 7yitin�
n
v. Jr�Jla-,c
o� If
3S�
u/ If
C.�vLCw z,
�s d�
5 `/
r